Halfan Side Effects
Generic name: halofantrine
Note: This document contains side effect information about halofantrine. Some of the dosage forms listed on this page may not apply to the brand name Halfan.
Applies to halofantrine: oral tablet
Higher risk may be associated with larger than recommended doses, previous or concurrent mefloquine treatment, preexisting QT interval prolongation, or concurrent administration of other QT interval-prolonging drugs. Prolonged QTc interval has been reported in up to 81% of adults treated with standard halofantrine (the active ingredient contained in Halfan) doses and in 100% of patients treated with high doses (72 mg/kg). Prolonged QTc interval has been reported in 50% of children and prolonged PR interval has been reported in 38% of children (n=21). Females may have a higher risk of adverse cardiovascular effects.
It has been proposed that halofantrine prolongs repolarization by blocking HERG potassium channels.[Ref]
Cardiovascular side effects have included QT interval prolongation, torsades de pointes, ventricular arrhythmias, and death. Chest pain and palpitations have been reported less than 1% of patients in clinical trials, and orthostatic hypotension has been reported in less than 1% to 33% of patients. Hypertensive crisis (1/933) and cerebrovascular accident (1/933) have been reported, although causality was not clearly established. Quinidine-like electrocardiographic changes have also been reported.[Ref]
Gastrointestinal (GI) side effects have included abdominal pain (8.5%), diarrhea (6%), vomiting (4.3%), and nausea (3.4%), although these symptoms may also occur with a malarial infection. Abdominal distention, anorexia, constipation, dyspepsia, and stomatitis have been reported in less than 1% of patients. GI upset has also been reported.[Ref]
Hematologic side effects have included decreased hematocrit, decreased or increased white blood cells, decreased platelet counts, hemolysis, and hemolytic anemia. These reactions may also occur with a malaria infection.[Ref]
Nervous system side effects have included dizziness (4.5%) and headache (3%). Asthenia, confusion, convulsions, depression, paresthesia, and sleep disorder have been reported in less than 1% of patients.[Ref]
Ocular side effects have included abnormal vision (less than 1%).[Ref]
Hepatic side effects have included increased hepatic transaminases, which returned to normal within 2 to 3 weeks.[Ref]
Renal side effects have included blackwater fever (acute intravascular hemolysis with acute renal failure and hemoglobinuria) requiring hemodialysis patients taking halofantrine (the active ingredient contained in Halfan) for Plasmodium falciparum infections (n=2). Causality was not clearly established. One patient had a positive Coombs test.[Ref]
Medically reviewed by Drugs.com. Last updated on May 19, 2021.
More about Halfan (halofantrine)
- During Pregnancy or Breastfeeding
- Dosage Information
- Imprints, Shape & Color Data
- Drug Interactions
- 1 Review
- Drug class: miscellaneous antimalarials
Related treatment guides
1. Abernethy DR, Wesche DL, Barbey JT, et al. "Stereoselective halofantrine disposition and effect: concentration-related QTc prolongation." Br J Clin Pharmacol 51 (2001): 231-7
2. Toivonen L, Viitasalo M, Siikamaki H, Raatikka M, Pohjola-Sintonen S "Provocation of ventricular tachycardia by antimalarial drug halofantrine in congenital long QT syndrome." Clin Cardiol 17 (1994): 403-4
3. "From the Centers for Disease Control and Prevention. Sudden death in a traveler following halofantrine administration--Togo, 2000." JAMA 285 (2001): 1836
4. "Product Information. Lariam (mefloquine)." Roche Laboratories, Nutley, NJ.
5. Piippo K, Holmstrom S, Swan H, et al. "Effect of the antimalarial drug halofantrine in the long QT syndrome due to a mutation of the cardiac sodium channel gene SCN5A." Am J Cardiol 87 (2001): 909-11
6. Mbai M, Rajamani S, January CT "The anti-malarial drug halofantrine and its metabolite N-desbutylhalofantrine block HERG potassium channels." Cardiovasc Res 55 (2002): 799-805
7. "Sudden death in a traveler following halofantrine administration--Togo, 2000." MMWR Morb Mortal Wkly Rep 50 (2001): 169-70, 179
8. "Product Information. Halfan (halofantrine)." GlaxoSmithKline, Philadelphia, PA.
9. Karbwang J, Na Bangchang K "Clinical pharmacokinetics of halofantrine." Clin Pharmacokinet 27 (1994): 104-19
10. White NJ, Pukrittayakamee S "Clinical malaria in the tropics." Med J Aust 159 (1993): 197-203
11. Sahr F, Willoughby VR, Gbakima AA, Bockarie MJ "Apparent drug failure following artesunate treatment of Plasmodium falciparum malaria in Freetown, Sierra Leone: four case reports." Ann Trop Med Parasitol 95 (2001): 445-9
12. Sowunmi A, Fehintola FA, Ogundahunsi OA, Ofi AB, Happi TC, Oduola AM "Comparative cardiac effects of halofantrine and chloroquine plus chlorpheniramine in children with acute uncomplicated falciparum malaria." Trans R Soc Trop Med Hyg 93 (1999): 78-83
13. Nosten F, ter Kuile FO, Luxemburger C, et al "Cardiac effects of antimalarial treatment with halofantrine." Lancet 341 (1993): 1054-6
14. Touze JE, Heno P, Fourcade L, et al. "The effects of antimalarial drugs on ventricular repolarization." Am J Trop Med Hyg 67 (2002): 54-60
15. Winstanley P "Malaria: treatment." J R Coll Physicians Lond 32 (1998): 203-7
16. Ezeamuzie IC, Igbigbi PS, Ambakederemo AW, Abila B, Nwaejike IN "Halofantrine-induced pruritus amongst subjects who itch to chloroquine." J Trop Med Hyg 94 (1991): 184-8
17. Vachon F, Fajac I, Gachot B, Coulaud JP, Charmot G "Halofantrine and acute intravascular haemolysis." Lancet 340 (1992): 909-10
Some side effects may not be reported. You may report them to the FDA.